Based on interview and record review, the facility failed to ensure the Discharge Minimum Data Set (MDS-a resident assessment and care-screening tool) was transmitted timely and within 30 days, to the Centers for Medicare and Medicaid Services (CMS) system for one of 19 sampled residents (Resident 87) MDS Assessments. This deficient practice had the potential to affect the quality-of-care monitoring system to ensure safe, efficient, resident centered care in a timely manner. Findings: During a review of Resident 87's Admission Record (AR), the AR indicated the facility originally admitted Resident 87 on 1/30/2024 and readmitted him on 7/14/2024 with diagnoses that included metabolic encephalopathy (a problem in the brain caused by a chemical imbalance in the blood), heart failure (a… …
F642 citations in California
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F642 more often than its own record predicts
1.14 times the share F642 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F642 findings written in California, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to ensure the Minimum Data Set (MDS - a standardized assessment and care screening tool) certification of completion for one of one sample resident investigated under the Resident Assessment Facility task was signed by a Registered Nurse. This deficient practice had the potential to result in inaccuracy of assessments. Findings: During a concurrent interview and record review, on 04/08/2021 at 3:24 p.m., Resident 19's Minimum Data Set (MDS - a standardized assessment and care screening tool) dated 12/29/2020 and 9/29/2020, indicated a section labeled, Section Z0500 - Signature of Registered Nurse (RN) Assessment Coordinator Verifying Assessment Completion. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 1.73× |
| 2024 | 0.02% | 0.95× |
| 2025 | 0.01% | 1.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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